Subdental synchondrosis fracture in children: the value of 3-dimensional computerized tomography. Pediatr Neurosurg 1996 Nov;25(5):256-9
Date
11/01/1996Pubmed ID
9309790DOI
10.1159/000121135Scopus ID
2-s2.0-0030404734 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
A case is presented illustrating the usefulness of computerized tomography (CT) with 3-dimensional (3-D) reconstruction for evaluation of a subdental synchondrosis fracture in a child. Odontoid fractures in children less than 7 years of age occur at the subdental synchondrosis and are typically diagnosed with plain x-rays. However, a delay in diagnosis is common as these injuries may not be appreciated on initial roentgenographic evaluation. The authors present a case of a 2-year-old boy with a subdental synchondrosis fracture secondary to trauma. In this patient, plain x-ray and conventional axial CT failed to definitively elucidate the child's injuries; however, the use of CT with 3-D reconstruction fully delineated the injury. The use of CT with 3-D reconstruction in evaluating children with subdental synchondrosis fractures is a valuable tool for diagnosis. The treatment of synchondrosis fractures of the odontoid process in children is immobilization of the cervical spine.
Author List
Sherburn EW, Day RA, Kaufman BA, Park TSAuthor
Bruce A. Kaufman MD Adjunct Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChild, Preschool
Follow-Up Studies
Fracture Healing
Humans
Image Processing, Computer-Assisted
Male
Odontoid Process
Spinal Fractures
Tomography, X-Ray Computed
